Individual
JENNY MARIAN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
681 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 655-7726
Mailing address
8102 TOM SAWYER DR, TAMPA, FL 33637-6593
(813) 507-6063
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109786
FL
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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